<%@ Page Language="VB" MasterPageFile="~/MasterPage.master" AutoEventWireup="false" 
CodeFile="Add_Contact.aspx.vb" Inherits="Admin_Add_Contact" title="CIMS" %>
<%@ Register Assembly="AjaxControlToolkit" Namespace="AjaxControlToolkit" TagPrefix="ajaxToolkit" %>

<asp:Content ID="Content1" ContentPlaceHolderID="ContentPlaceHolder1" Runat="Server">
    <br />
    <table border="0" cellpadding="0" cellspacing="0" width="800">
        <tr>
        <td align="left" style="font-weight: bold; font-size: 10pt; font-family: Arial;">
            Contact Details</td>
        </tr>
    </table>

    <table border="0" cellpadding="0" cellspacing="0" width="800">
        <tr><td style="font-size: 3px; background-color: #105BA4; height: 3px;"></td></tr>
    </table>

    <table border="0" cellpadding="0" cellspacing="0" width="800">
    
    <tr><td>
        <table border="0" cellpadding="0" cellspacing="0" width="100%">
        <tr><td>
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 30px;" align="left">
                    &nbsp;Broker Name:</td>
                <td style="width: 200px; height: 30px" align="left"><asp:DropDownList ID="DropDownList1" runat="server" Width="194px">
                </asp:DropDownList></td>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 30px;" align="left">
                    &nbsp;Provider Name:</td>
                <td style="width: 380px; height: 30px" align="left">
                    <asp:TextBox ID="TextBox9" runat="server" Width="184px"></asp:TextBox></td>
            </tr>
            </table>            
        </td></tr>
        </table>            
    </td></tr>

    <tr><td>
        <table border="0" cellpadding="0" cellspacing="0" width="100%">
        <tr><td>
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 30px;" align="left">
                    &nbsp;Name:</td>
                <td style="width: 690px; height: 30px;" align="left">
                    <asp:TextBox ID="LastName_txt" runat="server" Width="188px">Last Name</asp:TextBox><asp:TextBox ID="FirstName_txt" runat="server" Width="304px">First Name</asp:TextBox><asp:TextBox ID="MiddleName_txt" runat="server" Width="176px">Middle Name</asp:TextBox></td>
            </tr>
            </table>            
        </td></tr>
        </table>            
    </td></tr>

    <tr><td>
        <table border="0" cellpadding="0" cellspacing="0" width="100%">
        <tr><td>
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 30px;" align="left">
                    &nbsp;Position:</td>
                <td style="width: 690px; height: 30px;" align="left">
                    <asp:TextBox ID="TextBox10" runat="server" Width="188px"></asp:TextBox></td>
            </tr>
            </table>            
        </td></tr>
        </table>            
    </td></tr>
    
    <tr><td>
        <table border="0" cellpadding="0" cellspacing="0" width="100%">
        
        <tr><td>
        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 113px;" align="left">
                    &nbsp;Telephone No:</td>
                <td style="width: 45px" align="center"><asp:TextBox ID="T1_txt" runat="server" Width="40px">63</asp:TextBox></td>
                <td style="width: 40px" align="center"><asp:TextBox ID="T2_txt" runat="server" Width="32px">000</asp:TextBox></td>
                <td style="width: 56px" align="center"><asp:TextBox ID="T3_txt" runat="server" Width="56px">0001222</asp:TextBox></td>
                <td style="width: 40px" align="center"><asp:TextBox ID="T4_txt" runat="server" Width="40px">000123</asp:TextBox></td>
                <td style="font-size: 10pt; font-family: Verdana; width: 121px; height: 12px;" align="left">
                    &nbsp;Mobile No:</td>
                <td style="width: 42px; height: 12px;" align="center"><asp:TextBox ID="M1_txt" runat="server" Width="40px">63</asp:TextBox></td>
                <td style="width: 34px; height: 12px;" align="center"><asp:TextBox ID="M2_txt" runat="server" Width="32px">000</asp:TextBox></td>
                <td style="width: 62px; height: 12px;" align="center"><asp:TextBox ID="M3_txt" runat="server" Width="56px">0001222</asp:TextBox></td>
                <td style="width: 250px; height: 12px;" align="center">&nbsp;</td>
            </tr>
            <tr>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 113px;">
                    &nbsp;</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 45px;" align="center" valign="top">
                    Country</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 40px;" align="center" valign="top">
                    Area</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 56px;" align="center" valign="top">
                    Phone No</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 40px;" align="center" valign="top">
                    Ext</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 121px; height: 19px;">
                    &nbsp;</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 42px; height: 19px;" align="center" valign="top">
                    Country</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 34px; height: 19px;" align="center" valign="top">
                    Area</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 62px; height: 19px;" align="center" valign="top">
                    Phone No</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 250px; height: 19px;" align="center" valign="top">
                    &nbsp;</td>
            </tr>
            </table>
            
        </td></tr>
        <tr><td>
        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 109px; height: 24px;" align="left">
                    &nbsp;Office No:</td>
                <td style="width: 45px; height: 24px;" align="center"><asp:TextBox ID="F1_txt" runat="server" Width="40px">63</asp:TextBox></td>
                <td style="width: 40px; height: 24px;" align="center"><asp:TextBox ID="F2_txt" runat="server" Width="32px">000</asp:TextBox></td>
                <td style="width: 56px; height: 24px;" align="center"><asp:TextBox ID="F3_txt" runat="server" Width="56px">0001222</asp:TextBox></td>
                <td style="width: 40px; height: 24px;" align="center"><asp:TextBox ID="F4_txt" runat="server" Width="40px">000123</asp:TextBox></td>
                <td style="font-size: 10pt; font-family: Verdana; width: 118px; height: 24px;" align="left">
                    &nbsp;Fax No:</td>
                <td style="width: 45px; height: 24px;" align="center"><asp:TextBox ID="TextBox1" runat="server" Width="40px">63</asp:TextBox></td>
                <td style="width: 40px; height: 24px;" align="center"><asp:TextBox ID="TextBox2" runat="server" Width="32px">000</asp:TextBox></td>
                <td style="width: 56px; height: 24px;" align="center"><asp:TextBox ID="TextBox4" runat="server" Width="56px">0001222</asp:TextBox></td>
                <td style="width: 40px; height: 24px;" align="center"><asp:TextBox ID="TextBox6" runat="server" Width="40px">000123</asp:TextBox></td>
                <td style="width: 187px; height: 24px;" align="left"></td>
            </tr>
            <tr>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 109px; height: 19px;">
                    &nbsp;</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 45px; height: 19px;" align="center" valign="top">
                    Country</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 40px; height: 19px;" align="center" valign="top">
                    Area</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 56px; height: 19px;" align="center" valign="top">
                    Phone No</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 40px; height: 19px;" align="center" valign="top">
                    Ext</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 118px; height: 19px;">
                    &nbsp;</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 45px; height: 19px;" align="center" valign="top">
                    Country</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 40px; height: 19px;" align="center" valign="top">
                    Area</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 56px; height: 19px;" align="center" valign="top">
                    Phone No</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 40px; height: 19px;" align="center" valign="top">
                    Ext</td>
                <td style="width: 187px; height: 19px;">&nbsp;</td>
            </tr>
            </table>
            
        </td></tr>
        
        <tr><td>
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 30px;" align="left">
                    &nbsp;Email:</td>
                <td style="width: 690px; height: 30px" align="left">
                    <asp:TextBox ID="TextBox3" runat="server" Width="188px"></asp:TextBox></td>
            </tr>
            </table>            
        </td></tr>

        <tr><td>
        
            <table border="0" cellpadding="0" cellspacing="0" width="100%" style="height: 40px">
            <tr>
                <td style="width: 540px" align="center"></td>            
                <td style="width: 130px" align="center"><asp:Button ID="Button1" runat="server" Text="Save" 
                    BackColor="Gainsboro" Font-Names="Verdana" Width="80px" /></td>
                <td style="width: 130px" align="center"><asp:Button ID="Button2" runat="server" Text="Back" 
                    BackColor="Gainsboro" Font-Names="Verdana" Width="80px" CausesValidation="False" /></td>
            </tr>
            </table>
            <asp:RequiredFieldValidator ID="rfv1" runat="server" ControlToValidate="DropDownList1"
                ErrorMessage="Broker Required" ForeColor="White" Text="."></asp:RequiredFieldValidator><asp:RequiredFieldValidator
                    ID="rfv2" runat="server" ControlToValidate="TextBox9" ErrorMessage="Provider Required"
                    ForeColor="White" Text="."></asp:RequiredFieldValidator><asp:ValidationSummary ID="ValidationSummary1"
                        runat="server" ShowMessageBox="True" ShowSummary="False" />
            
        </td></tr>
        <tr><td>        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 3px;" align="left"></td>
            </tr>
            </table>
        </td></tr>        
        </table>
    </td></tr>

    </table>
</asp:Content>

